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The goal of facial aesthetic surgery is to reverse the signs of aging without leaving telltale signs. A facelift is not intended to make a person look fundamentally different, just fresher.
Most women become candidates for facial aesthetic surgery sometime after forty (men after fifty). The criteria to determine when one is ready are not rigid and the decision is always somewhat arbitrary. Early aging signs may be considered insignificant to some individuals but more disturbing to others. Facelifts are never performed on a purely preventive basis, however. The primary disadvantage to delaying corrective surgery is that progressive aging changes may require a more aggressive procedure. The result may not be as good due to the normal loss of skin elasticity that occurs with increasing age. The best candidates are generally between ages 45 to 55. You are probably a good candidate for facial aesthetic surgery if you have specificaging signs such as a loose neck or jowls that you find troublesome.
Facelifts almost always require more than just skin tightening. Using aggressive skin removal alone to restore facial shape can result in a distorted and unnatural appearance. Almost all patients benefit from tightening of the SMAS layer under the skin in order to remove jowls, restore cheek contour, and soften nasolabial folds. The SMAS layer is made of fibrous fat tissue that is strong. It overlies the facial muscles which themselves are never manipulated in any way during a facelift. Tightening of the SMAS layer is important to achieve a natural appearance. It minimizes the amount of skin removal necessary and thereby helps avoid a “pulled” look. Those who have had a facelift before have already had most of the excess skin removed. A repeat facelift in these individuals focuses more on SMAS tightening with little if any additional skin removal.There are several variations in facelifts: a short- scar facelift, a necklift and a complete facelift.
The most common complication that can occur after a facelift is a hematoma. This happens in less than 2 percent. A hematoma results when blood collects as a lump underneath the skin. It may require a brief return to the operating room within twenty-four hours of surgery. Development of a hematoma does not have any adverse effect on either short-term recovery or the final aesthetic result. Other problems such as infection, eye irritation, delayed healing, or excessive scarring are uncommon. Facial nerve injury with weakness of a part of the face can occur on a transient or permanent basis. This is extremely rare. The vast majority of patients do not have any complications.
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